Rorty M, Yager J, Rossotto E
UCLA Neuropsychiatric Institute.
Am J Psychiatry. 1994 Aug;151(8):1122-6. doi: 10.1176/ajp.151.8.1122.
This study sought to determine if rates of childhood sexual, physical, psychological, and multiple abuse (i.e., abuse in more than one form) differed between women with a lifetime history of bulimia nervosa and women with no history of eating disorders.
Subjects were 80 women, aged 18-35, with a lifetime history of bulimia nervosa (40 women who had recovered for a year or more and 40 women currently suffering from bulimia nervosa) and 40 women who had never had an eating disorder or related difficulties. The cohort was obtained primarily by newspaper advertisement. Subjects participated in structured diagnostic interviews and completed paper-and-pencil questionnaires related to abusive experiences in childhood.
Women in the bulimia nervosa group reported higher levels of childhood physical, psychological, and multiple abuse. Contrary to expectation, rates of sexual abuse did not distinguish the groups, except in combination with other forms of abuse.
The higher rates of psychological, physical, and multiple abuse found among women with a lifetime history of bulimia nervosa than among comparison subjects underscore the importance of examining the full range of possible abusive experiences in women with eating disorders, rather than focusing simply on sexual abuse.
本研究旨在确定神经性贪食症终生病史的女性与无饮食失调病史的女性在童年期遭受性虐待、身体虐待、心理虐待及多重虐待（即不止一种形式的虐待）的发生率是否存在差异。
研究对象为80名年龄在18至35岁之间的女性，其中40名有神经性贪食症终生病史（20名已康复一年或更长时间，20名目前患有神经性贪食症），40名从未有过饮食失调或相关问题。该队列主要通过报纸广告招募。研究对象参与结构化诊断访谈，并完成与童年期虐待经历相关的纸笔问卷调查。
神经性贪食症组的女性报告的童年期身体虐待、心理虐待及多重虐待水平更高。与预期相反，性虐待发生率并未区分两组，除非与其他形式的虐待同时存在。
有神经性贪食症终生病史的女性中，心理虐待、身体虐待及多重虐待的发生率高于对照组，这凸显了在饮食失调女性中全面检查可能的虐待经历的重要性，而不是仅仅关注性虐待。
